Chapter 20: Nursing Management: Preoperative Care Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition

CHAPTER 20: NURSING MANAGEMENT:
nb nb nb




PREOPERATIVE CARE LEWIS ET AL.: MEDICAL-
nb nb nb nb nb nb




SURGICAL NURSING IN CANADA, 3RD EDITION
nb nb nb nb nb




QUESTIONS AND ANSWERS 100% VERIFIED
nb nb nb nb nb




1. nbDuring nbthe nbpreoperative nbinterview, nba nbpatient nbscheduled nbfor nban nbelective nbhysterectomy nbto
nbtreat nbbenign nbtumours nbof nbthe nbuterus nbtells nbthe nbnurse nbthat nbshe nbdoes nbnot nbknow nbwhether nbshe

nbcan nbgo nbthrough nbwith nbthe nbsurgery nbbecause nbshe nbknows nbshe nbwill nbdie nbin nbsurgery, nbas nbher

nbmother nbdid. nbWhat nbis nbthe nbmost nbappropriate nbresponse?



a. nb"Tell nbme nbmore nbabout nbwhat nbhappened nbto nbyour nbmother."

b. nb"Have nbyou nbdiscussed nbthese nbfeelings nbwith nbanyone nbelse?"

c. nb"I nbam nbsure nbsurgical nbtechniques nbhave nbimproved nbsince nbyour nbmother nbhad nbsurgery."

d. nb"Think nbpositively! nbPositive nbthoughts nbhave nbbeen nbshown nbto nbinfluence nba nbpositive nbsurgical
nboutcome." nb- nbANS: nbA



Anxiety nbcan nbarise nbfrom nblack nbof nbknowledge, nbwhich nbmay nbrange nbfrom nbnot nbknowing nbwhat nbto
nbexpect nbduring nbthe nbsurgical nbexperience nbto nbuncertainty nbabout nbthe nboutcome nbof nbsurgery nband

nbthe nbpotential nbfindings; nbtherefore, nbit nbis nbimportant nbthat nbthe nbnurse nbhelp nbexplore nbthe nbpatient's

nbfeelings. nbAlso, nbfurther nbassessment nbmay nbuncover nba nbhistory nbof nbmalignant nbhyperthermia, nbwhich

nbwill nbrequire nbprecautions nbduring nbthe nbsurgery.




PTS: nb1 nbDIF: nbCognitive nbLevel: nbApplication nbREF: nbpage nb424

OBJ: nb2 nbTOP: nbNursing nbProcess: nbImplementation nbMSC: nbCRNE: nbCH-31

2. nbA nb74-year-old nbman nbis nbto nbhave nba nbleft nbinguinal nbhernia nbrepair nbat nbthe nboutpatient nbsurgical
nbclinic. nbPreoperatively, nbwhat nbis nbit nbmost nbimportant nbfor nbthe nbnurse nbto nbdetermine?



a. nbThe nbpatient nbhas nbhad nboutpatient nbsurgery nbin nbthe nbpast.

b. nbThe nbpatient's nbmedical nbplan nbcovers nboutpatient nbsurgery.

c. nbThe nbpatient nbplans nbto nbstay nbovernight nbat nbthe nbsurgical nbcentre.

d. nbA nbfamily nbmember nbor nbfriend nbis nbavailable nbfor nbtransportation nband nbcare nbat nbhome. nb- nbANS: nbD

Priority nbassessment nbis nbrelated nbto nbthe nbneed nbto nbhave nba nbresponsible nbadult nbpresent nbfor
nbtransportation nbhome nbafter nbsurgery. nbOther nbpreoperative nbinformation nbcan nbinclude nbthe nbday-of-

, surgery nbevents nbsuch nbas nbpatient nbregistration, nbparking, nbwhat nbto nbwear, nband nbwhat nbto nbbring, nbbut
nbthese nbare nbnot nbthe nbpriority.




PTS: nb1 nbDIF: nbCognitive nbLevel: nbApplication nbREF: nbpage nb429

OBJ: nb2 nbTOP: nbNursing nbProcess: nbImplementation nbMSC: nbCRNE: nbCH-31

3. nbA nb36-year-old nbwoman nbhas nbbeen nbadmitted nbto nbthe nbhospital nbfor nbknee nbsurgery. nbWhich nbof
nbthe nbfollowing nbinformation nbthat nbwas nbobtained nbby nbthe nbnurse nbduring nbthe nbpreoperative

nbassessment nbshould nbbe nbreported nbto nbthe nbsurgeon nbbefore nbsurgery nbis nbperformed?



a. nbLack nbof nbknowledge nbabout nbpostoperative nbpain nbcontrol

b. nbKnowledge nbof nbthe nbpossibility nbof nban nbearly, nbunplanned nbpregnancy

c. nbHistory nbof nba nbpostoperative nbinfection nbfollowing nba nbprior nbcholecystectomy

d. nbConcern nbthat nbshe nbwill nbbe nbphysically nblimited nbin nbcaring nbfor nbher nbchildren nbfor nba nbperiod
nbpostoperatively nb- nbANS: nbB



If nbthe nbpatient nbstates nbthat nbshe nbmight nbbe nbpregnant, nbinformation nbshould nbbe nbimmediately nbgiven
nbto nbthe nbsurgeon nbto nbavoid nbmaternal nband nbsubsequent nbfetal nbexposure nbto nbanaesthetics nbduring

nbthe nbfirst nbtrimester.




PTS: nb1 nbDIF: nbCognitive nbLevel: nbApplication nbREF: nbpage nb429, nbTable nb20-6

OBJ: nb3 nbTOP: nbNursing nbProcess: nbImplementation nbMSC: nbCRNE: nbCH-27

4. nbWhy nbis nbit nbespecially nbimportant nbfor nbthe nbnurse nbto nbdetermine nbthe nbpatient's nbcurrent nbuse nbof
nbmedications nbduring nbthe nbpreoperative nbassessment?



a. nbThese nbmedications nbmay nbalter nbthe nbpatient's nbperceptions nbabout nbsurgery.

b. nbAnaesthetics nbalter nbrenal nband nbhepatic nbfunction, nbcausing nbtoxicity nbby nbother nbdrugs.

c. nbOther nbmedications nbmay nbcause nbinteractions nbwith nbanaesthetics, nbaltering nbthe nbpotency nband
nbeffect nbof nbthe nbdrugs.



d. nbRoutine nbmedications nbare nbusually nbwithheld nbthe nbday nbof nbsurgery, nbrequiring nbdosage nband
nbschedule nbadjustments. nb- nbANS: nbC



All nbfindings nbof nbthe nbmedication nbhistory nbshould nbbe nbdocumented nband nbcommunicated nbto nbthe
nbintraoperative nband nbpostoperative nbpersonnel. nbAlthough nbthe nbanaesthesiologist nbwill nbdetermine

nbthe nbappropriate nbschedule nband nbdose nbof nbthe nbpatient's nbroutine nbmedications nbbefore nband nbafter

nbsurgery nbbased nbon nbthe nbmedication nbhistory, nbthe nbnurse nbmust nbensure nbthat nball nbof nbthe nbpatient's

nbmedications nbare nbidentified, nbadminister nbthe nbmedications nbas nbordered, nband nbmonitor nbthe nbpatient

nbfor nbpotential nbinteractions nband nbcomplications.